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HomeMy WebLinkAbout94-00328 '-E. 1::\11/11' I~J' Mo.T'jor''- ~,(,...,~(>..", 1//.10 kllOIl'1I al .. II" PETITION FOR I)ROnATE llnd (;I{ANT 011 LETTERS () /..1'-1 - ,J/),t N(I, 1(1: , Ih'('<'lISt'tl. Social SI'I'III'II." Nil, /(P"f- ~ Ie. :Sll"f ' Hegilll'r (If WillI lor Ihe ('(l1I1I11' (If CUMBERlAND.. .... 111 Ihe ('(lIIIII;IIII\I'eallh (If I'elllllyll'alllu 11\1: pelill(lll (II Ihe ulldelllglled I elpe"1IlIlIy rl'luelellll IhuI: Y(llIl Pl'liti(lIlt'I(.I), \l'h(l h/llIe IH Yl'arl 01 age Ill' (llder 11I1Ihe ,'.\eeIlIO~_" illlhe lUll 11'111 (If lilt' ult(ll't' demit-III, dilled ':r........, I Sr' "If ..... IIl1d eIHlldl(l) dlll,'d .,....... lIumed ___,19...._".. (,1,111' Il'll'\oI111 d((IIlIl\llllll:l'\, ~'.I!. Il'llIll1dalillll, Ikalh Illl'\l'l'IIIIIl, l'lf.) IlI'clolldelll \l'a', d(lllllclled al dealh 111. G .J.... 'o...-r-\........~. ,.. ('(llIlIly, I'ellllsyll'allla, wlLl.l _, h..or,.. . hili family (II' I'rllldpal rl'lldellce al. ~3.""''' ~"'S 1>... ...fi...t.~"'L4~."~Tt.... l'1oroJ> ..m ........ ......, .. .. (Ihl '"':o'[, 1I1111~,rf,::;-:'1I1~"~I~[~"'" ~....a r.. ...........-..-...-..... . Deeelldl'III,IIIt'1I PJS", y.'arl Ii.' age, dil".! H'!--r-....\,., ;J.. '1 .., 19.,CJ..Jf_.., all:;c~~I~I~I;II~f,','j~~d""~l~lflf.,~ ~r~', ';':11 1;(I;';III'(lll'('d alld did 1I(1111al'e a ehihll'I".llo;;I;i;.r'i~;i uflcr c.\e"IIlI(lllol Ih., \l'llIol'fClt'd forl'r(lhal"; \l'al 1I01Ih., I'lclilll (II a klllillg IIl1d ""I lIel'er IIdjlldlculed IlIeOll\pl'lelll: ....."..'-'." Ilecelldelll al dealh (I\I'lIed prop.,I'IY \I'll!! "llilllaled I'ahlel al 1'0110\1'1: (If dOlllldlcd ill \'u,) All peNl\1al propel'll' (If 1101 dOlllldled ill I'lL) I'er II 1I111 1 1'1'0111'1'11' io \'elllllyll'allia (If 1101 dOllllclled IlIl'a,) I'erlollal proPI'I'IY III ('oallly Value 01' I'l'al C\lilll' ill Pl~lll1syl\'lIlliil llillaled a, 'nll(l\l'1: $..1.7S;~~.o;:)-_... $... ........n__.__ $._...~._..._--- $.....-....--.-.---- . - -0- ._. ___.___. .._______~__._ ._..__. - __. .__._ _,~_'__'____' - .,9--.---- \\'IIEI{i:H)I{~;" pellllolll'I'(') re~peellullY reque.lI(.I) th.' Jl('ohull' of Ih,' IU.l1 will lllld codlell(.I) presellwd herc\\llh IIl1d Ih.' gralll ollellcr.l.........IESIAMENIML....-.............-.......-.- (IC,lal\lClllary; IHllllinhlrallUlI ~'.I.a.: adl1'lllli~lf,IlI(l1l d.h,Il.~'.I.lI,) Iheroll, " e ..,- 'c ~ ttM -J ':J -'. t1'= -;,d; u~ :ie' ;j " u, ti; au;~m. ~QS. ~_u"':sb.",,,,",,F:\. .. .(1 ~"'~"'" <...L..J~;>""L'7.0~-:S- 0-.-.-._----.._--- __ _____--,__ -- -----....--....---.----.--.+....----.---, .._.._._._._._. _.._____n._________ ---.'.- .. ......-- ._..~--_._---- OATIl OF 1)lmSONAL I{EPIU~SENTATIVE COMMONWEALTII OF I'ENNSYL\'ANIA \ '1'1 COli NT\' OF C~r~BERLAND ._, ._. J H, I'he 1".'lltl(lul'l(1) 1I1"'1"<'.lIdllled ,wear(,) or allirlll(l) Ihdlllll' sllIlellll'nl' Inlh,> foregoing pClitlolllll'C II lie und c(ll/Wl III Ihe hesllll Ihl' kllllwkdg,' IInd hellcl' Ill' pl'lillolll'r(,) lllld Ihnlll\ per'olllll represen. 111111'1'(') Ill' Ihl' III",sl' deeellt-1l1 1"'lilll>lIl'I(Ij 11'111 11'1'11 tlnd lilliI' adllllnlller II,,' ell' lIeeordlllg tolall', SII'I'III 1(1 III IIlli[Il~~T~Il"1 'Uh,eriltel.I, I cL"~. r~ hl'lon' llll' 1~1~ dilg 01 /,," ~ 7lZt~'r1>e ~~~tir ,I fl' ,(I!.lJ)ttii' X/fa:1 ... u ~ ~ARY) C. LEWIS 11,'~I\II'r.1 ,! rJ 2 I 'I -....,) ('I (, . / t\ No.. 21 - 94 - 328 Estate of MARJORIE A. CRIPPEN t Deceased DECREE OF PROBATE AND GRANT OF I,ETTERS AND NOW APR IL 11. 19-2i, In consideration of thc petlllon on the rcvcrse sldc hcrcof, Sill Is factory proof having bccn prcscnlcd bcforc me, IT IS DECREED that thc Instrumcnt(s) dalcd JANUARY 15. 1994 dcscrlbcd thcrcln be lIdmlllcd 10 problltc IInd fIIcd of rccord 115 Ihc IlIst will of MARJORIE A. CRIPPEN and Lcllers TESTAMENTARY arc hcreby grunted to R08ERT 8URK ~ FEES ,Probatc, LCllCrS, ,Etc, ""."., $ , ~70 .00 Short Ccrtlflcatesp ) " " .. .... $ 15.00 Rcnunclatlon """""",,;, $ X-Page ' $ 3.00 JCP -- 5.00 TOTAL -- $-293-rOO Fllcd ,',," ,~~R.)l., ,11., ,l,~~~, " , , , , , "" .~@ tfl . {)~ fu Llft , '" 11I1(J,l!~. .' 'l1. CHlJ'y!-)I' 1\'8111" 01 III. , (j MARY C, LEWIS ^TrDI\Nl!Y (Sup, C(, 1,1>, No,) Alllll\l!SS PHONll " " (")(") . :n ,f] ;~ ," orJ .i'., ..1] (\I i" , , r, , '!\..; 1'.\ U1 " .U' 'I ~U ( 0,.1 , (/I [' )::0;. ~ \' " , .'1, .1>. Mailed letters and order to Executor on 4-11-94. ~-- .. . ...., ~ - "":' -7~ -r--,," \ \ This i.. ,(0 n.'l'fily IIll1l llll' illllll"lllilliolJ ht'll' ,t.:j\'("!l i... UII ft'ul,. (1IP'l:,III'IJI11 ,lllllll!'.lIldl {{'[,lilil,Ht' 01 t!(',uh dld~' lilt'd \\ ilb IIll' il~ 1.1IclIllll'I.:Istrll\" 'I'll<' llrigillal l'l'I'lHiliHI' willlw lorw.Hdl'd III (Ill' .l,.;t.tll' \'11,11 H((lfld~ ()ltlll" Illl pl'Jlll.llIl'llI filing. WAR,NING: It Is 1II0galto dupllcAto this copy by photostat Dr photograph, '1'<:" lor Ihb tl'l'Ilfk.lIl1; S.!,(III ..'1 f' , :/Y " .J ~ I" q.l.l ... 4/ jl:!i(fI....",~1;r. ,-lI.I"-'" 1l.1ll' J _ ',' ,,'j' , ,. '-'" ," j j,j.' '." -,;.~c.,t,(~..__"(/~"..#.+CL.kL _ . .. Loc,,1 H('p,I~l'i,"r , , , 231.5138 o. o~lo...__. _r'" ". ,_ . _... L_. _.._.,. Nil, HIQllQ".'" COMMONWIALTHO' IINNIVLVAHIA. OIPAATMINT 0' HULTN' vrrAL AICOROI CERTIFICATfi OF DEATH """"" .. AWAHlH' I.ACIl.INIC ....l'U1ilMIffIl W.. 'OCW."c:~ HUWM" 'female I, 164 -. 36 - 51/4 ~.01 ..,_...._-"~... IlOlfl""lI _jZl._O ....0 t:...o Jot CambVloland .........~;.c:r::~;r .........,..,....... g 5 Pa, ""... lO. ...0 ..0 .1(~M......t(_, tcHMQl.AHCI"" .- -- 1-..- 1-"1. r:-""II~=~"1 ..~~ ~.M ~ I: 11 ~ ,.M.., MNIU'AlA<<HCOUIhQCf) O!AfOlCII~M;'ot') ,..,,.AVl'OI'tY' MIlUlI~N COW\nUolOlCJ.UII ""''''' -, H O.IJIOtlH.Mlf ......""... o [J o 1ll<W'iWi., --- ... rl6llOlMJlll'l' .... 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I, " " I ," ",f' "-J ,. ,,, ..- \~'.~ tj~ o ,t~ ,." ~1.1 i-::~ (' . -'1',' :-i l{J I " l~! ,': I'J~ , "i :c II n II :1, '-.J \.JI We: ~, '\., '.11 5 " II' a: " uu II " I .'1 " 'j,' ., ::"i r1 i , I I' 1 ~ 1 ~-' " 1 - II I I 1. - - I - - - tIol ~ (~))) - ,1 ~))) --. J ~I)) I !I l'6 -l~t ~ , - m - - ',I J I' ..... ..... :~ - - - - I l ~ ( ffj I i I ~t I ~n , ~ J " ,,-, , " , .J I :~,-~1.: ;,.;i..'.i ,:'1 T L! I.';: '''-'''- 'l"''"'''~ , ..._--~-, ;.;;-'.-,-~ -.....-. .. .,';-E;:-:; " I; " ,,' " i" I"~ i:, , , [o' I' " 'I, f." ;u;oil'T~Rt""";;:;:'.'i-;:"''-;=;'i'"'',='''-;'"!i';li'.:, "It.--,'"., ',/,":, , ";..-.',' ;~';-, '.' ."f' '-;-;-1. :' , ' '~ " , i "...i1!r~;'....;r;1.;...~l'I~.ao;;;..>:;;.;,\i:jW.;;;;..; .:r;;....... /'/_ /(1..,,103 ",V,!lOO f. 1",911 I 'OR DATISO.DIATH AmR 12/31/91 CHICK HUI ..\ :';~?!, INH::Jr~E~~E JE~~DREE~~RN ~~lt~~~\~!T-'!~~A.I~!I..dJ'__'.h____ CU_MONW!AlTH Of PENNIYlVANIA l (TO BE FILED IN DUPLICATE .., I 0''-1 L~ .OJ C'> H:~R~:fJ:g,W~I~::,. 'vVITHREG.IST~~ OF \y1.L~~I~ouN~co~E . ... ' y~"R JO{~~UM8ER . ~.-- CRI~Mp~'tV ._~;'3:"O~.\.~.A.-__ __n. Z!;N'IA:L~~~"~... ~ ,ociA1SICiJRI'v NUMII! , ~lror OlAfH tAt! 0/ 0,,"1 M l. to. h.....'" I t.lJ.. V""J '?-. I") tJ:;-:,- .._...':.__._J_~I1.?> lq..:: S-11..i_.......2~-'-~..t.-.'i~nO'i :05 .O~. c,,",,-C, ..,..,.,,'a.~!':J.~..,,-~__.. ..u.__._._ I!! ~ 1. Original R,'urn (0.1 2, Suppl.monlal R,'urn [ 'I 3 Romaindor Rolu," lol:!g (for dOlo, 01 doolh prior 10 12.13.82) lrlf (') 4, llmilod Ellalo [.) 4u. Fuluro Inloro,l Compromilo [ 15, Fodoral E"olo Tax 00.. .. Ifar dalol 01 doalh aftor 12.12,921 Rolurn Roquirod Eal U 6, Docodonl Oi.d To,lalo [I 7, Oocodonl Mainlainod a living TrUll '_ B, Talal Numbor of Solo Oopo,i1 Box.. <I: IAttach copy 01 Willi (Allach copy 01 Trulll ------- ALL CORIESPOND.Ne! AND CONPIDINTIAL TAX ni.ORMATION SHOULD BI DTfiicTiDTOI NAM . -rOM'lEl! MAII[NGADORfll ~ ~ m!Pl~~U~I~r~-~ ~ v~l'_~-r-."~~.~,," ~~:L.~~~lSb:';;;~~-/o SS- L'7'f"'7). 7("b~.O Lf'f. '~..=~__O=~~..~~._, . '. ..... .. ...~.. .____..0__ .~J+~.~..c:L. o - ._..._---_._---~~ ---- 4, Mortgago, and Nol.. Ro"ivoblo ISch.dulo 01 ( 41 .. ..._...Q....__ 5, Co.h, Bank Oopo,ill & MI".lIanooul Po"onol Proporly( 51 _.....__._.lQ'I_l.'1..:Z...__ ISchodulo EI 6, Jointly Ownod Proporly ISchodul. F) I 6) _...n,~.1.ef-?" ~ ..._ 7, Trando" ISch.dulo GllSchodulo l) I 7)...___._._....___9_ 8, Tolal Gron Anoll (Iolalllno' 1.7) 9, Funeral Expon,ol, Adminlllrolivo Co.lI, Mhcollanoou. I 91 ----..---5i.e.QQ-.- Exp.nlol ISchodul. HI 10, Oobl., Mortgag. llabillliol, lionl (Sch.dul. II 11. T 0101 Ooductlon. (Iolollinol 9 & 101 12, Nol Valuo 0' Ellalo (1In. 8 minUlllno II) Ii!, Chorllablo and Govornmonlal noquolIllSchodul. JI 14, Not Valuo Subjoct 10 Tax (Iin. 12 mlnUllln. 131 15, Amounl of IIno 14 laxabl. 01 6% ralt Ilnclud. valuol from Schodul. K or Schodul. M,) 16, Amounl of IIn. 14 laxabl. 01 15% ralo (Includ. valutl Irom Sch.dule K or Schodulo M,) 17, Prir,lpallax du'IAdd lax from IIno 15 and from lino 16,1 18, Cr.dill SpoUlal Pov.rty Crodil Prior Paymonll Oi"ounl Inloroll <C\ + _~_ +_9..3.a.._ - __CL._ ~~ :!c OZ V2 19, If IIno 18 h grooler Ihan IIn. 17, .nler Ih. diller.nce on lino 19, Thh illho OVERPAYMENT, IiID 20. II lin. 17 h groolor than lin. 18, .nler Ih. dill.rence on lino 20, Thll h th. TAX DUE, A, Enlor th. inlor," on Ih. balMce due on lino 20A, 8, Enler Ih. 10101 of lin. 20 and 20A on lin. 20B, Thi. I. Iho BALANCE DUE, Ma~. Check Payabl. 10'_ R.gl.ler .f Willi, Ag.n' C.It'C~ 111'11' If you flit' INIU('\IIlH) n f(.funcl of youl oVl'Ipuynwll1 I. Rool Ellalo ISch.dul. AI 2, 5lock. and Bond, 15chodulo BI 3, Clololy Hold S'ock/Parlno"hip Inlertll 15chodul. q z o 3 E ~ z o g ~ V ~ , L III I 2) ( 3).. ( 81 ._3..~'IJ~_~____ 1101._.._._~2.t:lL_ (16) _ . (11) ___ /0 -)- O.ai.Ji___ (12) ._"3JJj..1LL__ 113) _____n C 114) __._:LU J /I / K ,06 a ..___-'-~/..~.~.~__ ..Jl.__K ,15 a __________....Q____.._. (15) --.'3.1J;r1.Lf 117) ____..J.e_,_f.c?~]___.__ .__.__.3..3~.____. liB) (191 1201 __ .__.L7-j..2?!.'1_____. 120AI ......._________...0.____..__ 120B).-n...lJr2~!:L..__.._ .... IIIURI TO ANIWIR ALL aUUTlON. ON RIVIRllllDi AND TO RICHICK MATH." Undftr pinelli.. of perjury, I dedor. thaI I ha.... examined Ihll return, Incll'ding accompanying Iclle'dulel and 'tollmlnll, and 10 the bill of my kno.....ledg. and beli,f, 1llltruI, correct and camplele. I d.clorelhal all rflal e.lale ha. bun reported ollrue rnarkel value. Declaration 01 preparer olher Ihan Ihe per.onal reprellntalive i. belled on all Information of which prepar., hat any knowledge. \1-lu.romRION:ill:~N 0 ":~::lA"V:N ~~~~~~:~_~;-R~~~~:~~:::~l~r~.\~~~~ :~~:l7-'9J( -- '" "t bSCHEDULE E CASH, BANK DEPOSITS AND COMMONWIAIlH O' 'INNlYlVANIA MISCELLANEOUS INN/tJltrr:tIJtli:r..vIN PERSONAL PROPERTY ESTATE OF . - - , c.\<.lr?~ ~ J H~'K""!'()R.( c.. A. IAII ,roplrty Illo,IY'lWol4 with 'ho I'.h' If S"vIVII,hl, ,"VI' hi dl,c1IMd 10 ',hld," PI ITEM NUMBER "V.!JOII" tJ In w PI.a.. Print a.!Jlp. FILE NUM E / , - D"''''~\''I''' 1)~fos, t Ch....~k\...~ D......"I..... b'foJ,~'B.....k; T..~)-\-C., ?,O ' ~ 0.,. 2' C. I ~"".......,sb",~ 1'_ 17/05-2'7/.1 M ~r I J.....:~"'" l.c.. Uc..c:.k.'_j At.Li- No ,3UI-ol./ 3S- 'P.O'~()'l< 1/39 R~"'~\-J' r...., l 111.03 .1/3~ " c:t. 0" ",",\- 1J0, 10 -oS'~olc' 9 VALUE AT DATI OP D~ATH $ Co, c. ~ ~ DESCRIPTION ~, I '1 3L.f j 3. I 9 ~ to ' c...\...~\I~ ~ Ie 'SO LT. Ca-S\" ~loS- * 5, ?~.....~"'.....( 'f\'~[_~~/I\J-h~ ,"" w,11 903 ts ~ c.. 0-. ~t.L..c.. s\.;~.....+ ') 'I "?c..r.1o",""" ( rMe"r--\.j ~O" \\,,-k~ .'" ...." \ \ I L.j 1'0 J \-.Hoc.. "'" +\-oc..~~~~ sl..c..'-~ ) ~ 'I'" l.~.J.l..~ I ~ , ~ /for.. ~- N~"P"s ~~~.......I (~t~ \)",<1.... Ae-oo.+ 1r...'-I.3r....s/l~ 'P,,(),~o~ I~ '0 A-I~'l<-......~.,..,...}l", :u.3IJ~ ~Ii./~ 7 IAtloch addillonal 8',;" )I( 11" Ih..1I if mort IpOCt II n.ed.d,l H~ ....') II. Ill~, ,;r)......J.4f<j411H 01 ""',11I/dl'4 ",1<1.,1'''(1'4..11',114 ,,\,01'4101((;)1'1' SCHEDULE F JOINTLY.OWNED PROPERTY .L I FILE NUM8Ein i ..._ .0.0___.. _____ _________6_________ ~._ ..,___.____. __ . ESTATE OF c..R\"?r~N Ht\ i<- ~~.\~ A- ._.___. _.n' _......._ ......._.1. --.--.-.--.---.--....--- ---.... Joln""non'(II' A,'R'''':~[~1 NAM1:", _... ,.__..._...1._._ _. n___.__n.~~~.RES!... n.... ____ __. _ I RELATIONSHIP TO DECEDENT C. I:) Ie. . __.__._.n.____ 'H un . '-'.... i ZO"S" \tV, l...,.s\.....-- R~ D "''-'-5h "\-.....~ . : H ...t..h........., t.. .s1. "''0 f,,- \"70s.r , B. ~"'... K,\3~....1c... ~.....---, c, K.....""...-.~ R:-iS-.l.....\:... s.....--~ __..-J... Joln'lv-ownld proplrlv, ITEM NUMBE 1. '2" 3. y, 5, Co, 7. e, Cj. 10. II, I? , \3. .....J LEnER FOR JOINT TENANT A A A A A A ~ A ,... ~ A c ~ DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET S"'1.\,e7 \(.."jv.....~ r<'\J",Lj"i___~"....~ ~ 82. o"l"f !)-.1.,.87 \I.......~I.I~.-~ ~.~~.y.~\.\i\.~~ 83/;J.iS- 17'/3'92 \J....'"'J..._-~ \t, s, c;..,...",~ 3/ "70~- 1S"''?'\''~71~o~ Ho~""S-\-c...'c. 3"!!,'<f2... IIQolS,"!No-.'-, \-\.....R '?....(f. S-l-<lt~ 13;'79S' ~.3o'8' NI:),'N....l ~ Pt\ H""'c:.13o,,,~ 77/1% '1.("''O~ M.........,\\ lr....1... c~~ Mt.-1- 3/lf'te 15"''07 ~'B e..'-'f' S'\-o....1c. )/;2.,:)-0 ~''e2. V,S, HH .s"'-o.J'-.):f\jo..~ IIO~O 9.'03 V.S', t-.I~ S.....'-',-J3\?l....~ 1)000 LI'~'-/ v.s, I-lH S....\ll~)~a...~ 11/000 ~.'il7 V 5 N K S_-1\.....,:/~.~~ y.~, IJ S N H S....","JJ~I".u I ~ $""<lQ J I €> ~....o 0 , c; .-...~~ "-,, 0 ~ \....... G..........~.s~'" l DEC~ DOLLAR ~ALUE OF .. ""' 1 """"" """" ,:,""'0 :l '-f', 0'-17 ~-" y," '? B s-o I : ~,5" 2.. ~-o '~/S71 ~-o (./7,-+ 8 s-o 3e?4-6 So 1,';1..+ " 2S '~~o ::.-0 ::.-0 t>....<l ,5"00 ~"Q .:::,- ,:)-00 I ~"\:l '1 ::lS"() / 9 :L..S"'O I ~ 'P~ 2. Tc:/-- \ 10 Lt/ (., 10 ~~ \ . I S.J"'~"'-\ __Ju?~/1S3 TOTAL IAllo on'" on linl 6, RlCopilulolionl S 2. 7 8 5""3 (If mOfllpac"s needed ,"It" odd,llona/lnllllt o/lam;-I~;--.- .__.ou..~_. ---I " 'IV 1I0'111.IIUI I ~()"".'JI.ftU\'H 0' 'rWHfl,A~' I SCHEDULE F _~~"~"~\'OI,~:~:~"I"_..-lu~OIN~~~ .~~NED PROPERTY ESTATI 0' _CR I?? ~~tt~~ ~_~~.\.~:~~. A~~~~:~~_-~_fILluNUMII~~._.~_:~.__.... Joln".non'I.). NAMI A.,-:r~,", ...~--i4-:-c. ~~f f ..." . .!\.~~,R!S~ RILATIONSHIP TO DICIDINT - --.-.------.-..-..--.. ... . ..... .... SOV\ 309 5, A....l.Si AII~...~v.I\>'\. '?.... 1810'3 I, A"'....."'~..... C""ff~'"' s u-- '- c;........~~........(J'~ c, :r o-.s Cl '" c:...... fr~"'" I ~ ;) I 6:' ~ I... s,. w~st.......s.J"l.}'... 18,0(., G-.-.....J s .. ..... Joln'ly.own.d proporly' ITEM LInER DATI 'OR NUMII! JOINT MADI DISCRIPTION OF PROPIRTY TOTAL VALUI DECO'S DOLLAR VALUE 0 TlNANT JOINT OF Asm % INT, DECEDINT'S INTER 1, A S-~I'e7 V........S'.....~ I-\,-)',,-\Ho...~, $/5'17;1..0 ~-o 79; '0<':' / ..(, A e'87.. \1'5 HH S"-~I-W' ~o...~ $"00 ~"1:l 2...$" 3, A 9.8 '3 I.n HH S"''1\'''iY~.''''~ IJ 000 ::'-<l So '7, A l.f-'Q"/ us \41,J. s-......~~"1....~ II 000 0 ~ "'"0 Sjso ) '. s-....,,\~.l~....u I~SOo ~"'-Q '1 :J. S S, '13 '-1-'0, us H~ I ) ~, c. l.f-fl7 us H l-l 5..." ''';)'' ""B....L t ~ SOo ..:i'\:J ~) :tS'1o I , - ..---- TOT AL IAllo .nltr on lint 6, R.copitulotionl S I () "I Ia I _....__h__ (II mort 'poco i, n..d.d in..rt odd,',ono/,h.." of ,om. ,ilt) , 1ST o Cl o o o ) o ~:jb COMMONWIAllH 0' ,.NNIVWANIA [NHIIITANC/ lAX mUIN IUIOIN! Of C/O IN! 5CH.DULI H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES PI,a.. Prln' or Tvp' "V.UIlIIt 1'''1 (.R'??~I\I, HA.R":to~l~ A ITEM NUMBIR DI5CRIPTION AMOUNT A. Punllo\ bp,nllll I. 5 ~~ ....~__L"'-~ S~"-4..~ $ IS) ,c;tt B. Admlnllt/atlv, COI'" 1. P,nonal R'pl"enlallvl Commlnlonl /92- -2.e -61'i'2, Social Slcurlty Numb,r of Pertonal Rlpr"lnlallvll 0 Year Commlulonl paid 2, AllornlY Fe" 0 3, Family Exemption 0 Claimanl Rllatlonlhlp Add"n 01 Claimant ut dlCld,nl'l dealh Slr,,1 Add"n City Slall Zip Cod I 4, . !trobalo F"l 2.'1 '3 :t"'\,....\"""'...t.~ To...,. ~,\.~ ~~~ IS C, MllclllanlOul bp,nl"l 1. 40 c:.oof' eJ c.+ .l"'-....~ <:..........\.~. t,...~ 60 , 2, S\..o...'\ c........-\, ~.~_~.s <e , I I 3, ~to~14-kr..~ M....\ ~.,..f.."..t~.. at,. '3'"+ 4, o t-t-...,... ~Q-'~ It... ')..7 5, I...... to c:....\(" 6, HI,lo:.~t.. ~...~ ~I\ J '0'7 7, Tt,.....k ,(joJ ~.,..~ ,'3; 8, TOTA~ IAllo enl" on line 9, Rlcopllulatlonl S s: BoO IIf mOil Ipac' II n"d,d, Inll" addltlonallh"'1 0' laml III'.) S c:...l..~ ~"Jl,- -:s- A'ft.,..~~~.....~ O~ '-r S c:...~ ___ ~-.J \~S h.....'-I'-. 1"'\ <:""I~'- ~ ~ (l ()"F ~ ~~ c::. ~ ~~.... ,. '.s 0....:; s ~_~ W~\ ~l O".r-'- -h... ~ oJ" I "'- u-~ ~ It~ "'" s l. 'J-u........a...:5 ~ ,-..., rr~....... - ~Cl"" S ~ l.. .. ~ ...l l ~ ~ w \jo.""-j \J t- ... ~ f\ c... -\-- 4 S; ~ '3"3 ~H_~~~.J \~.. e... c~...... \\.../\V.lI..~ \ ~-,)/"'II""'" 1\, ~ \~.... <.So + 1-/ 1<." + 3 eo :. S ....l.."-~-ll~ ~ ~.1+'_"'-\....~ ~~<:.c.....~s ~- ,l,-,k."';) ....,........-\- I) 4~... e,c:../IIO 4 000 -, f 97/ 18'1 2, R.Cl..~\.....\ c. c......fr...'" -~"'...~"'''-...... s......~t.~....t~ ~ Sl,,-l..~~.."t. ~ wIII,,-~ I~~ + "<I",,",.lI.~,-\........ 2. So -t I 0'3 0 o S~l.....~~ \~ ~: t:.s+\_"'",,~ ~r-()C:c...~s -s;,.,- c..l.......I..."-J ..u......~ I 1..80 I I :>Sj L1 S" 3 "f (')00 . , ~ J lc:>O I 7 33 J,Af'\V\ R. 'l3v...-lc.. Scl.....~.J\~ ~ s "l..c..~..d~ ~ - G...--.",,~~..~ ~--k...., ~""'\\\,~ ,\-...~ 2.c-'2. le,$'oo , ~ llO,7l..ol... ~ I e I 3"0 a t I ~ 5"0 <) I 1 \ ~ SOQ } 'f,"';s"0...5,..... c.., ~\'~..... -G........~SQ__ 5c::.\"c.~..J\... ~ r.~""'M~" c."'~~c:.""'-(;....._,~\...~~I..~..':>....\....,\...Jh, ~ ~,~.............-t\.. ~ ~...r\.... - G.---'v..- S....\.....~ol\..... c- : ' i' :'(, I I' i I I I . , \ , ;, , , ,[ !" , -" , \ I I , "I I I " I, " , " I , , i I " 'I, '" " ' I I 'I / I " " I , , " , I ~ ft1 I, .. ,11\0 "I "" "I (.lit ') ~ ~ ' I ~,n I iJ. i I ' J J' ,(D L i [ . Vl ~ I.~ ~ t " ',,-, tJ m q, ,., " ~ [ , ! .' -" ..., --,. ........, ".. , f ,') ') o :z: '-f- " !') ? " ~ U 0 '~ 7'. ~ ~ ~"~ J o u ~ L ..., ..j,' L-i ' ~ 1 ~ O)...Q l ~ ' ( 'PJ J 'J " ' ,. 'r , , I, ,I. ., I ~j OU " " I. 'f ,-, , , -i -: - '1"; -:: . -:: - j: - - . :: ~ .. . -" - . =:: .' .' =: . - - - . , :' - - -:: .' .' - I I I i /, , " I:' ","', , 'I 0:1 I, , 'I i ~ I I s~ . I. I I " , ,.) I II: . r .i "; j , " '~~ . ,Ii.' ';', ~ I i' , IL., I"~ I "1 -l", 'I' ',I. I "I I" I " I I r;".,', I!' , </ I'''' ..\ "1\, .\ , ,\ " " " , I,t" 4 "l f'" 'I , " , , , ", .!' 'I ,'..' '" , 1, .. ~ , " ' " i 1\ t'l) I ,. , , , . .., ,. ......"'--- , biIo 41 ~'U , ../ ~. I , .---............~................. 1. " .-~ ~ . 1,1 )' ) Rf. ,1 !X AFP (08<94* ! I ,l''> d ~Otl.llJt1I1C:Al Ttl Of' flfNHSVlVAN1A ACN 101 , DEPAA'H[H' DF A[V'HU[ NOTICE OF INHERITANCE TAX . / IUWtAU DF IHDlvIDU^' 1m' APPRAISEMENT. ALLOWANCE OR OISALLOWANCE V ~i::i'::::~\A 11111'0601 '" OF OEDUCTIONS AND ASSESSMENT DF TAX DATE 11-07-94 n'TA1'E 'OF~CRfpPW~~""O"='c.~MA~JiiRlE=.-A-=~~==~~~=: . FILE'NO: ."~=.. 2( 9i\'~8 DATE OF DEATH 03-24-94 COUNTY CUMBERLAND s-;.IS/"''! ~ -= NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FDRM WITH YOUR TAX PAYMENT TO THE REGISTER DF WILLS, MAKE CHECK PAYABLE TO "REGISTER DF WILLS, AGENT" REMIT PAYMENT TO: CUT ALONG THII LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... REV: iS4 i - iiC -A fiji- i 0 ii: 94"1 - NOY i c r "OF - i"NHE iii;: AN"C E" Y A X - iiPP R Aiii iifEN r; -A L 1'0 wANc E -cili - - - -" -" - - - - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CRIPPEN MARJORIE A FILE NO. 21 94-0328 ACNI0l DATE 11-07-94 TAX RETURN WAS, I I ACCEPTED AS FILED I XI CHANGED SEE ATTACHED NOTICE RESERVATJON CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL 1, Rill E.tltl ISchldull Al 2, Stook. Ind Bond. ISchldull BI 3, Clo.ely HIld Stock/P.rtnlr.hlp Intlre.t (Sohldule CI 4, Mortglgl./Ho'e. Reollvlble (Sohldule DI 5, C..h/Slnk DlPOlits/Hilc. Perlonll Prop.rt~ (Soh.dull E) &, Jointly OHnld ProPlrty ISohedule FI 7, Trln.fer. ISchldul. GI 8, Toto! A...h If an assessment was issued previaus1y, lines 14, 15 and/ar 16, 17 and 18 will reflect figures that include tha tata1 af ahh raturns assassed ta date. ASSESSMENT OF TAX: IS, Anount 01 Line 14 It Spou.ol rite IISI 1&, A.ount 01 Une 14 to.eble ot Lln..l/ClIlI A rite 11&1 17. Anount 01 Llnl 14 tl.oble ot Collotlrol/Cll" Brito 1171 18. Prlnolpol To. Due ROBERT K BURK 205 W LISBURN RD MECHANICSBURG PA 17055 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fun.ral Expln.../Adn. COlts/Hi.o, EXPln... (Soh,dull HJ 10, D.bto/Mortgoge Llobllltleo/LI.n. ISohodull Il 11, Totol DlduoUon. 12, Net Volue of Tox Roturn 13. Chorltoble/Governnontel B.quI.t. ISchodule J) 14, Net Volue of E.tlto Subjoot to TI. NOTE I TAX CREDITS: PAYMENT J= RECEIPT DATE NUMBER "~"1" PAVMENT MUST BE MADE BV 12-25-94*, DISCOUNT ('1 INTEREST (.) 933,37 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Anount Ronithd "1 III 121 (3) 14) IS) 1&1 171_ ,00 3.L.ti.'WJ!.. ,00 ,00 10.9(,7.00 278.563.00 ,00 181 321,159,00 191 1101 5,800.00 1,197,91 (111 1121 1131 1141 6,997 91 314,161.09 ,00 314,161.09 ,00 X ,00, 314,161.09 X ,06, ,!Q, X ,15, 1181 ,00 18.849,67 ,00 18.849,67 AMOUNT PAID 17,734.00 TOTAL TAX CREDIT 18'667'~7 BALANCE OF TAX DUE 182,30 INTEREST ,00 TOTAL DUE 182, ~ IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED, If TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU MAY BE DUE A REFUND, SEE REVERSE SlOE OF THIS FORM FOR INGTRUCTIONS, I . IF PAID AFTER DATE INOICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, to '-- I'.' ".. '. \ '{" '.. 1,\ ,'j " (' , ~ AESEnVATlOHI Elt.t.. of dlcld,nt. dying on Dr blfor. o..c..btr 12, 1982 H If IIny future Inhr..t In thl ..tat. It trln,flrred In POls.I.lon or .nJoy..nt to el... a (collat,ral) blneflol.rl.. of tht dle.d.nt ~ft.r tht IMplretlon of ~ny I' tat. for 11f. or far yll'., thl t:o..onM..1th hereby Il(prell1y rl..rVII tht right to IPpral1l and a..... trlnlf" Inhllrltancl TaM'" at th. hwful ct... 1\ (collat.raU rete on any lueh future lnt.r..t. PURPOSE Of NOTICE I To 'u1flll thl rtqulrolllntt of S1etlon 21400' the Inheritance and Eltat. TII( Act, Act 2Z of 1991. 72 P.S. S.otlon 2140. PAYKENTI nltach thl top portion of thlt Hotlo. and tublllt with your pay..tnt to thl Righter 0' Willi prlntld on the rlVIr't Ilde. ..H,kt chick or lonty order payabl. tOI REOISTER OF MILLS, AGENT All pay..nt. r,c,lvld IhllI flnt b, appll.d to any Int,r..t which .ay b. due with any r..alnd.r Ippll.d to thl till, REFUHO (CRII A r.fund of a tall cr.dlt, which wu not r.qullt.d on thl hll R.turn, IIIIY b. rlqu..t.d by cOlllphtln; .n "Application for Refund of Plnn.ylvanls Inh"Hlnal and Eltatl Tall" IAEV-Ulll. Appllcltlon. are "vlllahll at the OffiCI of thl R.ghter of HIIII, any of thl Zl RIVlnu. Olltrlct OffiCII, or by c8111ng the 'Plclnl Z4-hour onlwlrlng .,rylcl nu.b.r. for for.. ordlrlngl In Plnn-Ylvanla 1-800'56Z-Z0S0, out.ldl PennlYlyanla and within local Harrltburg area (JIll 7&7-6094, TOD' 1717> 17Z~ZZ~Z CHltrlng hpalrtd OnlY), OBJECTIONS I Any party In Interllt not ..tllfl.d wlth thl ftppralllllllnt, allowanc. or dltal10wancl of dlductlon" (lr ........nt of \111 (Including dl.count or Int.r..tl al Ihown on thl. Notlcl IIIU.t obJlot within ,llIty (601 day. 0' rlcllpt 0' this Hotlcl bYI --wrlttsn protl't to thl PA ~.part.lnt 0' R.vlnu., Board of ApPlnl., DEPT. Z810Z1, HarriSburg, PA 17128-10Z1, OR "11.ctlon to havI thl lII.tt" dltar.lnld at nudlt of the nr.count of the Plnon.1 rap,,"ntetlv., OR --npPltl to thl Orpha".' Court. AONIN I5lRATlVE CORRECTIONS I Factual errors dl,ccvtrld on thlt ........nt .hauld bl nddr....d In writing tOI PA DIPlrtunt of R.v.nuI, BUrlau of Indlyldual Tall", ATTHI POlt A.......nt R.vllw Unit, DEPT, Z60601, tt"rrltburg, PA 17U6-0601 Phon. (7171 787-6505. S.. pall' 5 0' thl bookl.t "In.tructlon. for Inhtrlllncl Tall A.turn 'or a Ruld.nt Olc.d.nt" (REY-1501) for an IlIplanatlon 0' adalnlstratlv.lv corr.ctabl. .rror.. DISCOUNT I If any t.1I dUI It paid within thrll (51 calandar 1Il0nth. aftlr the dlc.dlnt'. daath, a flvl parclnt 15in dltcount of thl tall paid it allow.d. INTEREST, Int.r..t la chargld blglnnlng with 'Ir.t day 0' dlllnqu.ncy, or nlnl (9) 1II0nthl and on. II) day fro. thl d.t. of dllth, to thl d.ta of pay..nt. Tall" which b.cll" dll ~nqulnt bl'or. January 1, 1962 b..r Intar..t lit thl rlta of ,1M (6;'0 parc.nt par annul calc:ulatld at a dally ratio' .000164, All tlllllt which blcnll' dellnqu.nt on Ilnd aftar January 1, 1981 will bur lntar..t at n rate whiCh will vary frail callndllr year to cahndar yur with that "t. announc.d by th. PA Olpartunt oC Alvlnu., Thl appllcabll Intar..t rat.. for 198Z through 1994 nral '!!!! Inter..t Rate Dally Intar..t Fnctor ~ Intar..t R.t. Dally Int"I'~ 1911 20:< .000S48 1966 10:< ,ooom 19U 16:< ,000458 1907 9:< ,OOm7 1904 11% .000501 1968-1991 11X ,GmOI 1905 15;: ,000SS6 \992 9:< ,000247 199.5-1994 7X .GOOm --Intar..t it calcuhtad .. follow. I INTEREST . SALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X D^ILY INTEREST FACTOR "Any Notlcl l..u.d .ftar the hll blco... d.llnqu.nt will rlfhct an Intll,..t calculation to ,Ift..n (IS' daYI boand thl dlt. of thl ......".nt, If p.y..nt i. ..d. aftI' the Int"..t co.putatlon dati .hown on thl HOtlCI, addltlon.1 Intar..t IIIU.t bl celcuht.d. PAYHENT, REFUHD (eA) I REPLY Tal amOUNT, IN;EREST, \.1 ,.' '. I ," I , Olttoh the top portion of thl, Hotlol end tub,U-,wlth your ply..nt lad, payablt to the n... and addrul printed on the rlv.r.. ,tde. All Ply..nt. r,cllved .hal! fir.' bt appU,d to any Int".., whtflh .av bt dUI with any r...lnder IPpU,d to thl tll(, A r.fund of I taK or.dlt, which waf not r.quI.tld on the T.~ Return, lav bt r.quI.tld by cOlpl,tlng an "Applloatlon for Refund ('If Ptnn'Ylvnnla Inhtr1tnncI IInd Elt.t. Tu" (REV-1313), AppllcaUonl art avallabl, at the OfficI of the Rlgl,t,r of Willi, any of th, 2~ Rov,nul Ol.trlot Offlo,., or by callJng the ,plolal 24'hour antwlrlng ..rvlel nU'b.r. for for~. oru.rl091 NF,W IN PENNSVLVANIA 1-&00'362-2050, out, Ide PlnnsVlvanla Ind within the local HarrJ.burg $r.a (717) 787.8094. Qu.,tlon, r.garding error. conta1n.d on thl. notlc. should b. addresled tOI PA D.part,.nt of Rlv.nul, Burlau of Individual TaM", ATTNI Post h......nt Review Unit, DEPT. 280601, tlarrhburg, f1A 17128~0601, phone Ol7l 787'65OS, If any taM due 11 paid within thr.. (3) Ill'll.odar IIllnthl after the dlcld'nt's dllth, a flv. Plrolnt (5i:1 discount of thl taM paid I. allowod. Intore.t I. charged beginning with fir.t day of dlllnquenoy, or nine (9) lIonthl and onl (I) day fro. the aate of dllth, to the date of pay,ent. TaMU whIch bICIl" dellnqulnt blfore January I, 1982 bur Int.rut at the rate of ,1M (6i:) percent per annuli calculatlld at a dally rat. of ,000164. All taM" wh1ch bocn. dlllnqulnt on and afhr January I, 1982 ~III blar Inter..t at a rate which will vary fral calendar Ylar to oalllndar Ylar with that rIte announold by thl flA napart..nt of Revlnul. The applicable lntlre.t rat.. for 1982 through 1994 arel !!!r Inter..t Rate Dally lnt.rut Factor ~ Intllr..' Rat. Dally Inter..t Fllctor 1'82 20i: .000548 1986 10i: ,000274 1.83 16i: ,000438 1.87 9% .000247 1'84 lli: ,000301 1988-1991 11% ,000301 1.8S 13i: ,0003S6 1992 .% .000247 1993.1994 7% ,0001'2 ..Intll'..t I. oaloulatld a. followlI INTEREST = BALANCE or TAX UNPAID X NUNBER nF DAYS DELINQUENT X nAILY INTEREST FACTOR ..Any Hotlcl I..uld aft.r thl taM hICOMI. dellnqulnt will rlfllct an Intnre.t calculation to flft'ln (15) dlV_ blyond thl dati of thl a........nt. If paY.lnt II ud. aH.r thl lntlr..t co.putatlon dllt. .hown on thl Noticl, additional lnt.rl.t MUlt be calculated. R,,";"l:l>.1 fiX AFP (12.~4) j, ',HIIONW....". TH OF PEHHSVLVAHU ((,I:llAAT".:....' Of REVENUE ,.. 'UREAU Of INDIVIDUAL lAKES lEPT. 280601 tlARRlSIURO, PA 17128-0601 ESTATE OF CRIPPEN MARJORIE A FILE NO. 21 94-0328 DATE OF DEATH 03-24-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK PAYHENT TO TNE ADDRESS SHOWN, HAKE CHECK PAYABLE AND REHIT PAYHENT TO, , , , ( 11- do-'; 'S.~ S' ASSESSMENT CONTROL NO. (I; . Ot/V 101 ./ INHERITANCE TAX RECORD ADJUSTMENT DATE 04-18-95 ROBERT K BURK 205 W LISBURN RD MECHANICSBURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 AMount R.n1H.d l CUT ALOND THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .. Rifv:is9-j.EX.-AFp..ii2-:94j-.-..-M-.-iN-HERX.TANC-i-TA.x-RifcORb..ADj-USTH-ENT-..M-....---------.--------.----- ESTATE OF CRIPPEN MARJORIE A FILE NO. 21 94-0328 ACN 101 ADJUSTHENT BASED ON, VALUE OF ESTATE I AnMTNTSTRATTV~ r.nRR~r.TTnN "J\ ) c; ,: \.< .00 I II 31,649,00 <; .OL :CI .00 ,.,' -.1 10.947,00 278.563,00 .00 ,"" (8)\ 1, R..l E.t.t. ISoh.dul. Al 2, Stook. .nd Bond. ISoh.dul. BI 3, Clo..ly H.ld Stook/P.rtn.r.hlp Int.r..t ISoh.dul. CI 4, Hortg.g../Not.. R.o.iv.bl. ISoh.dul. 01 5, Cuh/B.nk D.pool h/Hho, P.r.onol p,'op.dy ISoh.dul. E I 6, Jnlntly Own.d Prop.rty ISoh.dul. FI 7. Tr.n.f.r. ISoh.dul. 01 8. Tot.l A...h DEDUCTIONS AND EXEMPTIONSI 9, Fun.r.l E.p.n.../Ad~ini.tr.tiv. Co.t./ Hi.o.ll.n.ou. E.p.n... ISoh.dul. HI 191 10, D.bh/Hodg.g. U.bUiU../L1.n. ISoh.dul. II (10) 11, Tot.l D.duotlon. 12, N.t V.lu. of T.. R.turn 13, Ch.rit.bl./Oov.rnM.nt.l B.qu..t. ISoh.dul. JI 14, N.t V.lu. of E.t.t. Subj.ot to T.. TAXI IS, A.ount of Lln. 14 .t Spou..l r.t. 115) 16, A.ount of Lin. 14 t...bl. .t Lin..l/Cl... A r.t. 1161 17, AMol~t of Lin. 14 t...bl. .t Coll.t.r.l/Cl... B r.t. 1171 18, Prlnolp.l T.. Du. TAX CREDITS I PAYHENT RECEIPT OISCOUNT (. I DATE NUMBER INTEREST 1- I 11 I 121 131 141 151 161 171 5,800,00 3,563,91 1111 (121 (13 I (14 I OOK,OO" 311.79509K,06" OOK,IS" (181 AHOUNT PAin 06-17-94 11-10-94 MM886192 MM913181 933,37 ,00 17.134,00 182,30 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, DATE 04-18-95 ...-.:0 "'11 321.1S9,00 9.363.9] 311.795,19 00. 311.795,09 , On. ]8.707 71 .00 ]8.707 71 _18'L8.!~ .l.4 ~L 141,96CR IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE A REFUND, SEE REVEROE SlOE OF THIS FORH FOR INSTRUCTIONS,) PAYMENT, REFUND (CRI, REPlY TO, DISCOUNT, INTEREST, Dlttoh the top port Jon of thl. Hottel and tUb.Jt with your ply.,nt ~.d. payable to the n... and Iddr"1 printed on Ihl rev.r.. .Id.. .. Hlkl eh"k or lenl. ordor pI..bll tCl REQISTER OF WILLS I AQENT. All ply..nt. r.celved ,hall bt applied flr.t to any Int.r..t which .ay bt due with any r,.,lnd.r applied to the taM. A r.fund of . tax crldlt, which waf not rlqul.t,d on the TIK Rtturn, .ay b, rlqul,ted by COlplttlng In "Application for R,fund 0' Plnnsvlvanla Inh'ritanc, .n~ Eltat. Tax" (REV-IllS), Application. ar. Iv,ttablt at tht OfficIo' the Rlgllt,r 0' Willi, any of the 23 R.vlnul DI.trlot Of,lol. or 'rol the DIPart.'nt" 24-hour an,wlrlng ..rvlel nutb.r. 'or for.. ordtrlngl In PI"n'Vlvanla 1-800-362-2050, outside P.nn.ylvanla and within local t1arrhburg area (717) 787-8094, TDD' (717l 772~2252 Ulearlng rlpair.d only), QUltticn. rlgarding Irrorl contaln.d 011 thll not lei Ihould b. addr....d tOI PA DIPart..nt of Rlvlnul, Burlau of Individual TaXA', ATTHI po.t h......nt RI....llw Unit, D.pt. 280601, tlarrhburg, PA 171za~0601, Phon. m7178N505, If any tax due i. paid within thr.. (3) callndar lonth. afhr the dlc,d.nt'. death, a fI....1 perc.nt (S~) discount of the taM paid I. allowed. lnt.r..t I. charg.d b.glnnlng with flr.t day of d.llnqulncy or nln. (9) lonthl and on. (I) dl~ frol the det. of dl,th to thl dati of pay..nt. Td~~1 which b.ca.. dellnqu.nt blfor. January I, 1982 b.ar Int.r..t at thl rat. of IlK (6~) Plrclnt p.r annul calculat.d at a d.llv rat. of .000164. All taMI' which b.ea.. d.llnquent on and aftlr J.nuary I, 1982 will bllr Intlr..t at I rat. which will ""ary fro. cal.ndar vlar to calend,r v,.r with that rat. .nnounc.d by the PA Dlpert..nt of R.venu.. The applicable Int.r..t rat.. for 1982 through 1995 ar., 't.!!! lnt.r..t Rat. Dall~ Tnt.r..t Factor ~ Inter..t Rat. Dall~ Inter..t Factor 1982 20X ,000548 1987 9X ,000247 19U I6X ,000418 1988'1991 l1X ,000301 198~ l1X ,000101 1992 9X ,OO02~7 I98S IlX ,000156 1""1'199~ IX ,000192 1986 lOX ,000214 1995 9X ,000247 ulnter..t I. calculatld a. folloWIl INTEREST . BALANCE OF TAK UNPAID K NUKBER OF DAYS DELINQUENT K DAILY INTEREST FACTOR ~~Any Ho,lcl I"uld af'lr the taM b.eo... d,ltnqutnt will r.fllct an lnt.r..t calculation to ,Ift.ln (IS) day I b.ycnd the l1a" of thl a.......llt. If pav..nt It lid. after thl In,,,..t co.putatlo" dati .hown on the Notlc., additional Int.r..t IU.t bl calculatld. :,.. "\ I. 1.,', ---, ,: I ~ I , , [ , \1 " 'I I PAYNENT, .. , , I' O.t.'h tho t,p p,rtl,n " thl. N'tl.. .nd ..b.lt with "'r P.".nl ..d. P.,.bl. t, tho n... Ind .ddr." prlnt~d on the r'Vir't Ildt. If RESIDENT DECEDENT nkll chick or "on.~ order pa~abh tOI REOISTER OF WILLS I AGENT, II NON'RESIOENT DECEDENT ..k. ,hICk or "n" ordor p.,.bl. t" COMMONWEAL TN OF PF.NNSVlVANIA, All P.'..ntl "ool..d .h.ll b. .PPlI.d 'Irst t, .n, Il1tor..t .hl'h .., b. duo .lth .", "'.Indor .POIl.d t, tho tl<, REFUND ICR), A "'.nd " · tax mdlt, .hl'h ... n,t r.q'.'I,d 'n tho T.. R.lurn, .., b. r.....t.d b, ".pl.lln, .n "Appll,.tl,n I,r R"und " P.nn.,l..nl. In".rlt.n,. .nd E.t.t. T.." IREV-Illl', A.pllc.tl'n. or. ...II.bl. .t tho 0"1,. 01 tho R.,I.I.r 01 "Ill., .n, " tho 21 R'..nu, Ol.trl,t 0',1c.. ,r 'r,. tho O...rt..nt'. 24'h,.r anlw.rlng ..rvlel nUMb.r. lor for.. orderlnQI In Ptnn'Ylvanln 1-8DO-j6Z-Z0S0, outside PennlYlvAnla and within local tlarrlsburg aria (717) 78'1-8094, TOOII f7l7} nz-ZZSz OIurlng ,,,,paired onh), REPlY TO, DISCOUNT I INTEREST, 0'''11"" ",.rdln, m,rs cont.ln'd ,n thh n'lleo .hould b. .ddr....d to[ P. O..ort..nt " R...nu., lur... " lndl.ld..1 T...., I1TN, POIt ........nt R..I.. Unit, O.Pt, 2'0601, ""'hburo, PA 1112'-0601, phon. OI1l 1.1'6505, II .n, t.. duo 10 p.ld .lthln thr.. I3l c.lond.r .'nth. .Itor tho d.o.d.nl'. d..th, . II.. P.".nt 1m dllOount of the taK paJd i. allow.ct. Int.r..t I. ch.r,.d b.,lnnlng .Ith flr.t d., of d.llnqu.nc" " nln. ,., ',nlh. .nd ,n. 11) d., 'r,. Ih. d.t. 01 d'.lh, to tho d.t. " P.".nt, r.... .hlch b.c... d.llnq..nt b.,o,. J.nu.r, I, 1"2 b..r Int.r..t .t Ih. r.t. 0' .1. 16%) p.rc.nt p.r .nn.. colc.lotod .t . d.ll, ,.t. 0' ,000164, All t.,.. .hlch b.c... d.llnq..nt on .nd .'t.r J.nu." I, l.d2 .111 bur Intor..t .t . r.t. which .111 .." 'r" c.l.nd.r '..r tc c.l.nd., 'OIr .lth th.t r.t. Mnoune.d by the PA O'Pllrhtnt of Rlv,nuCI. The appllcnblo Interut rat.. for 1982 through 1995 artl Vee,' Interut Rfth Deily Interest Factor VUr Interut Rete Dally InhrlU Fnctol' -- 19.2 ZO% .000548 1987 9% .000Z47 1.03 16% .000438 1988~ 1991 11% .000301 19.4 11% ,000301 199Z 9% ,000241 1..5 11% .000356 1993~1994 7% ,000192 19.6 10% .OOOZ74 199~ 9% ,000241 ~ ~ Inter.. t II calculat.d al fOUOWIl INTEREST . BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR '-An, Notlc. I....d .'t.r Ih. t.. b.c,... d.llnq..nt .111 '.,I.cl .n Int.r"1 c.lc.l.tlon to II't..n 1151 d.,. b'"nd tho d.t. 0' tho ........nl. If P.'''nt h ..d. .ft.r Ih. Int.r..t ".put.t I,n d.t. .hcwn on tho HOtlClIl additional Int.rOlt .Ult be calculated. , \. .. tf, . ,';,1 ,.~, (. / '-/ - ,;i () .)- /0 , . R~V" 6SJ7 EX AFP 112.94* HONWEll It, OF PENNSYLVANIA EPARTNENf OF REVENUE BUREAU OF INDIVIDUAl TAXES DEPT, lB06DI HARRISBURO, PA 11128-0601 ACN 101 &iL 0(...- INHERITANCE TAX STATEMENT OF ACCOUNT DATE 05-08-95 CRIPPEN MARJORIE A FILE NO. 21 94-0328 03-24-94 COUNTY CUMBER~AND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SIIBHIT THE UPPER PORTION OF THIS FQRH WITH YOUR TAK PAYHENT TO THE ADDRESS SHOWN, HAKE CHECK PAYABLE AND REHIT PAYHENT TO, , ROBERT K BURK 205 W LISBURN RO MECHAN1CSBURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 f A..unt R..l tted l CUT ALONG THIS LINE ~ RETAIN LOWER ~ORnON FOR YOUR FILES ~ RE-V:i&o'j-EX"AFP"iiz':94i----'--.M.-'fNH-ERiriiNCE'-TAX-.STA-fEHE-NT-CiF-AC.COUN-f-..-..---.---...-..---..... ESTATE OF CRIPPEN MARJORIE A FILE NO.21 94-0328 ACN 101 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACH IH THE NAHED ESTATE, SHOWN BELOW IS A SUHHARY OF THE PRIHCIPAL TAK DUE, APPLICATION OF ALL PAYHEHTS. THE CURRENT BALANCE. AND. IF APPLICABLE, A PROJECTED INTEREST FIOURE, DATE 05-08-95 DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 04-17-95 PRINCIPAL TAX DUE, 18.707,71 PAYMENTS <TAX CREDITS) I PAYMENT RECEIPT DISCOUNT 1+) DATE NUMBER INTEREST (-) - 06-17-94 MM886192 933,37 11-10-94 MM913181 , "DO 04-2(,:,95 ~ REFYN~[, .00 'n tl .,p' {'J' h '. I'- ~ >- <..:r': ~!:" (I, /, (J $g 010' Ul 0:;< .1.1, OC.) AMOUNT PAID 17.734,00 182.30 141,96- · IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL IHTEREST, I IF TOTAL DUE IS LESS THAN II. NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIOHS, ) TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 18.707,'71 ,DO ,DO ,00 PAVHEHT I Dltach the top portion of thh Hotlc. 'and IUbllt with your PIy..nt ..ad. Plvabl,to thl nau and Ilddr... prlottd on th~ rlv.r.. ,Idl, If RESIDENI DECEDENT ..k. chock or .on., ordor ."'bl. 101 REOISTER OF WILLS, AOENT, If NON "RESIDENT DECEDENT ..k. chock or Ion" ordor ....bl. tOI COMMONWEAL TN OF PENN~YLVANIA, All Ply.,nt, r,cllv.d thall bt applied flr.t to any lnt.r..t which .ay b, dUI with any r...lnd.r appll,d to the t'M~ REr-UNO (CR)1 A refund of . taM crtdlt, which wa. not r.quI.ttd on thl TaM R,turn, ~ay bt r.qulttnd by co.plttlng an "Application for R,fund of PlnnsYlvanla Inh,r1tencl and Eltat_ TII)(" (REV~13Ul. Applications lIr. tlvalhblt at the OffiCI of thl Rlglltll' of Willi, any of the 21 RIVlnUI Dhtrlct Off Ie.. or frotl the Depart.,nt', 24-hour an,wlrlng ..rvlet nueb.r. for 'or.1 orderlnOI In Plnnlvlvants 1-800-362-2050. out.ldl Plnnlylvania and within local Harrl.burg arn (111) 181~8094, TOO' (111) 772.ZZS2 IHurlngll11pftirtd onlY). REPLV TOI QUI.tlon. rlgardlng Irror' contalnld on thil not Ie. Ihould b. addr"lld tOI PA DIPart.lnt of R.vlnul, Burlau of Individual Tuu, ATTNI Po.t A.......nt RIVllw Unit, Dlpt. 280601. tlarrhburg, PA l11Z8'0601, phonl 1717\ 787,6505, DISCOUNT I If any talC dUI I, paid within thr'l (11 oulendar ~onthl aftlr the d.cod.nt', dlath, a flvo porc.nt (SX) diloount of thl talC paid I, allowld. INTEREST I Int.r..t I. ch&rgld b.glnnlng wJth flr.t day of d.llnqulncY~ or nino (9) ~onth. and onl (1) day fro. tho date of dnth. to the data of pay.ent. TalC.. which becut delinquent before January I. 1982 bear Intorest at the rat. of Ilx (6X) Plrcent por annul caloulnted nt a dally rate of .000164. All talC.. which "ecal, dellnqu.nt on and aft'r January I, 1982 will bur Inter..t at a rate which will vary 'rol callndar yur to callndar yur with that rat. announcld by the PA DIPart.lnt of Rlv.nul. Th. appllcabla Inter..t rat.. for 1982 through 1995 "r'l V..r Inter..t R.tl Dally Intlre.t ractor Yur Intlre:s\ Rat. DallY Intlr..t ractor 1982 20X ,0005'8 1987 9% ,000247 1983 16X ,000438 1988 -\991 m ,00010\ 19&' m ,000301 1992 9X ,000247 19&5 llX ,000156 1991.1994 IX ,00019/. 19&6 lOX ,00027' 1995 9X ,000241 "lnt.rllt II calculated al folloWl1 INTEREST . BALANCE OF TAX UNPAID X NUMBER OF DAYS OELINQUENT X OAILY INTEREST FACTOR --Any Notlc. illu.d aftlf' the talC b.co... dellnqu.nt will r.fltct an Int"..t calculation to flft.o" OS) rtay. blyond th. dati of thl 1lI1.....nt. If pay..nt II .ad. ft'hr the Int.rut co.putatlon date Ihown on the Notlcl, Ildrtltlonlll Intor..t ",us, bl c81c:ulatld. .. .: ~ l'l 1,1,1 ('..i 1", !'-I ,. I:: ~ ~l ,'l() PURPOIE Of HOTlCE. To fulfill thl rlqulre,.nt. 0' Slot Ion 21"5 (bl (If thl Inh.rltanel and E.tlt. Tll( Aot, Aot 2Z of 1991. (72 P,I, I.ollon 2141), PAYHEHl I Oetlch the tOP portion 0' thlt NoUel and ,ubIIlt with vour PIYHnt to thl R,,,ht,r 0' Willi prlnhd on the r,v.r.. ,Id.. ~. "alc.1 chick or lonoy order PIVlblt tOI REGISTER OF HILLS, AGENT, All Ply..nt. r.celvld .hall bt applied flr.t to ant lnt,,"t whlth "Y bt dUI with any ",.Indtr appll.d to thl tl)l;. REFUND (eR) I A rllund of . tll< credit ..v bt r.qutlhd by cOlpl,Ung III "Appl1c"tlon for R.fW\d of Plnn,vlvonh Inhlrltance and Elt,t, TIM" (REY-l~13), Application. ar. available at thl OffiCI of thl Rlgl,tor of Willi, Iny of thl 25 Rlv.nul CI.trlet Offlc,. or frol thl DIPart.,nt" Z4~hour an,wlrlng ..rvlel "ulbtr. for for.. ord.rlngl In P.nnlylvanla 1-800-36Z-2050, out.Jde P,nnsvlvanla and within local Itarrhburg ar.. (717) 78148094, TOOl (717) 17Z~ZZ5Z OI..rlflg IIpalrtd Only), OBJECTlOHSI Anv party In Int.r..t not uthfled with the a.......ot of talC al ,hown on thh notice lav obj.ot within ,IMty (60) dlYI of r.c.lpt of thll Hotlc. bVI ~"wr1thn protelt to the PA D.part.lf.t of R'vlnul, Board (If App..ls, D.p," 2810Zl, Harrisburg, PA 11128-1021, OR ~4.llctlng to havI thl .att.r dltlr,lned at audit of the p.r.onal r.pr,..ntatlvl, OR "app.al to the Orphan.' Court. aOHIH' ISlRAlIVE CORRECTIONS I Fectual .rror. dl.cov.red on thl. a.......nt .hould bl addr....d In writing tOI PA Dtp.rt..nt of R.v.nut, Bureau of IncUvlcNal TalC", ATTHI Po.t A.......nt R.vl.w Unit, Olpt. 28060J, tlarrhburg, PA 17121-0601, Phon. (717) 787'6505, S.. pa;1 3 of the bookl.t "In.truotlon. for Inherltanc. TIM R.turn for a R..Jd.nt Dlctd.nt" (REY-ISO!) for an IMPhnatlon of arl.lnl.tratlve1v cur reo table ""Ort. INTEREST I For det.. of d..th on or aft.r 10.3'91, Plnnlvlvanla Eltat. TaM ba..d on tht Ftdtrel tltat, TaM return baoo." dlllnquant at the IMPlratlon of nit" (09) .onth. fro. thl datt of dllth, for det.. 0' d.lth prior to 10.]'91, P.nnlvlvlOll E.tat. TalC he lad ~n tht fldlral Elt,ta TalC raturn bteo... d.llnquent It the IMPlratlon of ,Ighteen (8) Ilonths f,'ol the date of dl.th, TaM" which b.c... d.llnquent b.fore January 1, 1982 blar Interl.t at thl rat. of 11M (6~) p.rolnt per annul calculated at a dIlly rate of .000164. All tlM" Which bICI" dlllnqulnt on or aftlr January I, 1982 wll1 bllr Int.r'lt at a rltl which will verv fro. clllndar y.ar to calendar YI.r with that rat. announcld bv thl PA Dlpart.lnt of Rlv.nul. The Ippllcabl. Inter'lt rat., for 1982 throuQh 1995 ar.l V..r Inttr..t R,tl DailY Inter..t Factor Vur Inter..t Ret. Dally lnttrllt Frlotor 198' !OX .000548 1m 9~ ,100247 19U IU .000438 1988"1991 11% ,000101 1984 III ,000301 1992 9% ,000247 1981 III ,000316 1991-1994 n ,000192 1986 10~ ,000274 1995 9~ ,000247 ~.Inttr..t It calculetld .. followll INTEREST. BALANCE OF TAX UHPAID X HIl"BER OF DAYS DELINqUENT X DULY INTEREST FACTOR "Anv Hotlcl IlIu.d after thl UlC blc.:OIllIl dlllnqulnt will rlU.ct an Inter..t calculation to fifteen CIS) diU blvcnd thl dati of thl ........nt, If pav..nt II ..dt lifter the Interllt co~tltlon dati ,hown on tht HoUcl, addltlon.1 Inter..t IUlt b. ellloul,tld, ..- . . ...~--. ..d~.'Wt. _ ''W1l ".i" ~ I, .. 1'. .--. ,<, I '.t ;' rl; " " 'l J , ,I' 'j"' r,\. \\/ !.lJ ,,' " 11' l.lI I I'; ..d :5 , UU (')1, u: ., i 'I MIlOSE OF HOIlCE. To fulfUl thl r.qul"..nh of StoUon 2145 (b) of thtlnh.rUanol and E'tat, TI. Aot, Aot 22 of 1991. (72 P.S. SooUon 21..5), . I PAyltENT, o-.tloh thl top porUon of thh Notte. and lUO.1t with your PIV.."t to the R'ohtlr of .,1111 printed un the rlv.r.. Itdt. ' .. Hokl chock or Icn.. crdlr PIY"II tc, REOISTER OF HILLS, AOENT, All paVI.nt. r.c,lv~J 'hill b. appll.d fJr.t to any Int.r..t whiCh 'IY b, due with any f...lndtr applied to thl t.)C, REFUND CCA)1 A rllund of . tlllC or.dlt "V b. rtqullt.d by coltpl.Ung an "Application for A.'~ 0' P,nn.vlvlnla Inhtrltanc. and f'ta'. TaM" (REY-131]), ApplIcation. ar. Ivallabl. at thl O"lcI of the R,gl.tlr of Willi, tny of thl 23 Rlvlnu. DI.trlot OfficI' or fro. thl Dlp.rt.,nt', 24"hour an.werJ"t ..rvlc. nuab.rt for for.. orderlngl In P.nn,Ylvenl. 1.800.362.2050, outlldt P.nn,y!vanl. and within lucal Harrl.burg arta (717) 717-8094, 1,1 TDDI (717) 772'2252 (Hllrlng Itpalred Onh), I \ OBJECTIONS I Any p.rtv In lnt.r..t not Iltl.flld with thl a.......nt of taM a. .hown on thl. notlol .av obj.ot within .I~ty (60) day. of r.cllpt of thl. Notlcl bYI ..wrlttln protllt to thl PA DIPart.lnt of Rlvlnul, Board of APPI.l., DIPt. ~alOZ1, p. .Iburg, PA 17121-1021, OR "lllotlng to h.vI the .attlr dltlr.lnld at I\ldlt of the plrlonal rIPrl..ntaUvI, ...~ --app.a1 to thl Orphan. I Court ADHIN- ISTRATlVE CORRECTIONS I Plctu.l .rror. dllcovlrld on thl. .I.....-nt .hould b. addr....d In writing tOI PA Dep.rt..nt of n.venue, BUrlau of Individual T.MI., ATTNI Po.t A.......nt Revl.w Unit, Dlpt. 210601, Harrl.burg, PA 17121-0601, Phon, (717) 187-6505. Sel page 3 of thl booklet "In.truetlonl for Inh.rltancl TaM Rtturn for a Allldent OIeldent" CREV-150U for .n IKplanatlon of adflnlttraUv.h corr.otabl. .rror.. INTEREST I Addlttenal Penntylvanla E.tatl TaM .....tld el . rllult of a changt on the F.dlr.1 E.tete TaM clo.lng I.tter blco.e. dlllnquent at thl IMPlratlon of on. (I) 'enth fro. the date thl flnll notlcl of the Incr.... In Fldlral E.tat. TaM II rlcllv'd. TUII which ble", d.Unquent b.forl January I, 19&2 bllr Inter..t at thl ratl of lhe (6~) plrclnt per ~ cllculat.d at a dally ratl of .OOOI6~. All taMIt lthlch bfla.. dlllnqulnt on or after January I, 1982 will b..r lntlrl.t at a ratl which will vary fro. calendar Ylar to callndar Ylar ulth that rat. announcld by thl PA DIPart,ent of Rlvlnue. The appllcabl. Inter..t rdt.. for 1912 through \995 ar" 'We lllW.ul.aw [J1lI11", Int.,..t FlIr.tnr- l:W Int.r... !lilt. nail", Int.,.... Falltn,. 1942 20X ,000341 1981 9X ,000247 1m 16X .000418 1988-1991 I1X ,000301 1984 I1X .000301 1992 9% .000/.47 1m m ,000336 1993-1994 7% .000192 1986 lOX . OOD21~ 1995 9X ,000247 ..tnt.r..t 1. calcullt.d a. f01l0MII INTEREST . BALANCE OF TAX UNPAID X NUKBER OF OAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotlel 1.lued afttr thl taM blco... dellnqulnt will r.fl.et an Intlr..t c'lcul,tlon to flft,," (IS) dayI blyond thl dati of the ........nt. If ply.ent I. ',dt .ftlr thl Int.r..t coeputltlon det, thewn on thl Hotlcl, additional Intlrl.t 'Ult bl c.lcullt.d. " \